| NPI | 1841519519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09621700) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A117501) |
| 208600000X Surgery (Licence: IL 036.123367) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2023-12-21 |